Papillary thyroid carcinoma: mea, lalau mai, symptoms, kahua o ka hoʻonaʻauao a me ka 'o lapaʻau

Lapaʻau 'ikepili helu hōʻike i thyroid maʻi ma ka keia manawa - kekahi o ka loa, he pono ole. Ka mea, i diagnosed i kekahi i loko o ekolu kanaka, o ka oi aku i loko o ka kūpuna. Ka noho pilikia loa maʻi ua manaoia e e Ka maʻi 'aʻai (carcinoma) o ka thyroid gland. Kēiaʻike, He makau iho la lakou a pau i lohe i kēia mau hua'ōlelo wale nō. Akā, ma ka ike maopopo i na mea e ole ai scary me ka mea āu e. Hoikehonua, lapaau ua ai ke kino, e leie aku e hoakaka i ka maʻi ma ka kakahiaka nui ke kahua, a kiʻi pohaku uinihepa, o ka mea ana. E mākou noonoo ma ka au mamuli kekahi 'ano o ka maʻi' aʻai, a ua kapaia "carcinoma papillary thyroid."

hiʻona o ka maʻi

Papillary Ka maʻi 'aʻai mea oi, he pono ole i loko o nā? Ueo. Malignancy aicieeaao mai ke ola i ke hui,'aʻaʻa ua visualized like me ka cyst a me kaʻeho nui haoʻa. I ka 80% o ka hoopii, e hoomanawanui i hiki ke loa hoola ana i keia ano o ka carcinoma.

Inā mākou e kamailio e pili ana i nā 'ano o ka maʻi' aʻai, alaila, hoohalike ia me ka papillary carcinoma mālama, e ulu loa loa. Kekahi hiʻona - ka metastasis o papillary thyroid carcinoma pinepine palahalaha ae i ka lymph aka wahi.

E like me ka rula, o ka hoʻomanawanui mea wale 1 pa alima, ma ka pohihihi keia hoopii, mau no ia. More paha e ae aku, mai keia maʻi ma ka makahiki o 30-55 makahiki, ka hapanui wahine (akā, i kekahi manawa, i kaʻike, ua i a me na kanaka).

kumu

ke kumu ulu thyroid Ka maʻi 'aʻai' Aʻole kekahi i loko o ka pololei hiki ole hooholo. Kauka paipai i ka loa paha kumu o ka halepaahao mutation. No ke aha la e au me ia i kekahi mutation i hiki ole pohihihi mai.

ʻeho e hoʻomōhala ana i hope i mutated keena. Ka mea, hoʻomaka e ulu, ke kiʻekiʻe o ka hoohuoi ana ola kino'aʻaʻa.

E like me kānakaʻepekema lawe, carcinoma o papillary thyroid Ka maʻi 'aʻai e hoʻomōhala ana i aie i ka:

• lawa ka nui o ka iodine i loko o ka meaola;
• 'ia;
• ionizing pāhawewe;
• kāna hana i loko o ka hormonal kāʻei kua;
• congenital kāna hana;
• hewaʻano (uiki, ka waiʻona hainā);
• pinepine mea hoʻomaʻi a mea koʻohune naehana nā mea palahēhē.

hoike

Kēiaʻano o ka maʻi 'aʻai e hoʻomōhala ana i lohi, no laila, i loko o ke kakahiaka kahua o ka hoʻonaʻauao ka mea, ua nānā' ana iho,ʻaʻole no ka mea, o kekahi symptoms. Ma kānaka, aole meaʻaʻohe discomfort, i eha, ua ola ia i ka piha ola. I ka wā o kaʻeho hoʻomaka e ulu, e hiki aku ai i kaʻeha ma ka'ā'ī. A ke kanaka ke loaʻa iā ia iho ma o ka haole sila.

Ma nā kahua o ka hoʻonaʻauao ma hope o ka carcinoma o papillary thyroid kumu no kēia mau symptoms:

• mahuahua ma cervical lymph wahi (i loko o ka hapanui o na hihia o ka kekahi lima, ma laila mea he malignantʻeho);
• ʻeha i loko o ka'ā'ī;
• haole kino ka waiʻona ma ka wā moni 'ia;
• i kekahi manawa i ka leo i ka leo;
• ikea pokole o ka hanu;
• oiai'ōpā pū i ka'ā'ī (oi loa aku hoi, i ka wa i kekahi kanaka e moe ana ma konaʻaoʻao) nui discomfort ikeia.

ke kahua me

Ina ka mea, ua hoʻolaha me ka papillary carcinoma o ka thyroid gland? Kahua, na hoailona o ka a nō ke kumu no kaʻike,:

1. Makahiki mai i ka 45 makahiki:

• KaʻAnuʻu au: ho okumu ana o kekahi nui. I kekahi manawa, i ka maʻi 'aʻai keena, e halii mai i kokoke nā'aʻaʻa a me lymph aka wahi. Metastases mai i ulu ma nā nā loko. Kekahi, aole ia e haha aku i kekahi hoailona o ka maʻi, akā, i kekahi manawa, he mea he hōʻemi iki hoarseness, hōʻemi iki kaʻeha ma ka'ā'ī.
• Ke kahua me II: ikaika ka ulu ana o ka maʻi 'aʻai keena. Metastases lakou aloha ia nā ka lymph aka wahi a me nā loko mea e kokoke ana i ka thyroid gland (maʻiʻaʻai, iwi). Na hoailona a lawa i olelo ia, ka mea hiki ole ke nana.

2. Makahiki no 45 makahiki.

• Ke kahua me au:ʻeho emi o 2 knm,ʻaʻohe'ē aʻe nā loko mea i loli papillary thyroid Ka maʻi 'aʻai. Symptoms o ke kahua: ke kanaka, aole ia i haha aku i kekahi loli paha symptoms i mehana.
• Ke kahua me II: kaʻeho mea i loko o nā palena o ka thyroid gland, akā, olelo hooholo o 4 knm.
• Ke kahua III: nui i oi mamua o 4 knm, ka cancerous keena lakou aloha i ke kokoke nā loko.

Ka nohona ma kiʻi

Ke ano o ka paena a me ke Sila - keia mea i ka mua, i hoʻomaka me thyroid Ka maʻi 'aʻai. Carcinoma o papillary thyroid Ka maʻi 'aʻai ua wehewehe aku ma ka hookahi nāʻoihana, ma ka pohihihi keia hoopii, mau. Inā ka wahi mea hohonu, a me kona nui mea liʻiliʻi, laila, ke kanaka hiki ole loaʻa ia oe iho. Malignantʻeho o 1 knm hiki ole i hooholo i ka endocrinologist. Wale nō ma hope o ka US ike ua wahi hoʻonaʻauao 'ole ma hope o ka maʻi' aʻai hoomaka keena, e hohola i ka lymph aka wahi, a me ka mea, ma ka huli, mahuahua.

I ka wa i uuku ka nui o nā aka wahi maʻi ua kapaia "latent papillary carcinoma." Kēia 'ano o ka hoʻonaʻauao' mea e pilikia loa, a hiki ma ke kahua o ka metastasis. Kaʻeho e neʻe aku o ka 'elele i loko o ka thyroid gland, hiki ke hoʻoneʻe i moni' ia. Akā, i ka wā maʻi 'aʻai keena hohola i ka puni nā'aʻaʻa, ka malignantʻeho lilo paa.

Metastases loa kākaʻikahi hohola i nā nā loko ( 'ē aʻe ma mua o ka lymph aka wahi). Ua ka hana wale nō i loko o nā kuʻina holomua o ka maʻi. Metastases i no ka lōʻihi manawa i ka waiwai ua ole ia e ikeia. Ma ka hapanui o hoopii, papillary Ka maʻi 'aʻai hoopa aku i ka lymph aka wahi, kākaʻikahi hohola i nā thyroid lobe.

hiʻona aeea

Ka walaʻauʻana ano o ka malignancy:

• ka nui - mai i kekahi mau millimeters i kekahi mau kenimika;
• ma pohihihi keia hihia, malaila mitosis;
• e pili ana i loko o ke kahua i e kalipuna hoʻokomo kālā paha scarring;
• ʻeho ua ole encapsulated;
• keena mai,ʻaʻole i hormonal haʻawina.

ana manaʻo

Initially, ke kauka palpates ka thyroid i loko o ka'ā'ī wahi. Palpated a cervical lymph aka wahi. Inā ke kauka loaa i kekahi mea, ke hoʻomanawanui ua hoouna mai ai i ka US, a me ka mea e e hiki ke hooholo i ke alo o nāʻoihana, i ko lakou nui a me ka 'ole.

Cytological kiʻi o papillary thyroid carcinoma - i ka papa kuhikuhi hana o ke anamanaʻo. E hana i kēia, me ka ie-kui kele ma wehena biopsy, a ua lawe mai ikaika ma lalo o ka mana o ka US.

E maopopo ina he mau metastases i loko o nā nā loko, i ka hoʻomanawanui ua hoouna mea,ʻaʻole he m-Ray.

Nui!

Cytological papillary thyroid carcinoma - keia mea he misnomer, a 'aʻole i apo ia manaʻo. Aia mau manaÿo o ka "cytology" (ka wehewehena o ka 'ole o ke keena ma ka mea e hōʻike mai) a "papillary carcinoma."

lapaʻau

Pehea e kōkua i ka hoomanawanui me kaʻike, o "papillary thyroid carcinoma"? Iapaau ana ninoieo aʻoki lāʻau lapaʻau 'uao. Ma ia i ka maʻi ua hoʻohana thyroidectomy. Aia e mau loa ana:

• Hapa thyroidectomy;
• huina thyroidectomy.

No ka mea piha ka make ana o ka maʻi 'aʻai aeee i io, e hana maikaʻi me ka radioactive iodine, a ua lawe mai ma hope o ka hana.

hapa thyroidectomy

ʻoki kino o kēia 'ano ua hōʻike ma nā mea maʻi me ka uuku o ka nui malignancy, i kahi i loko o kekahi o ka lobes kino. He mea nui i i ole i ka maʻi 'aʻai keena hohola anywhere'ē aʻe. Nō kāu, ma na hihia a pau, i ka paena aʻole i oi aku 1 knm i loko o ke anawaena. Duration o ka lapaʻau - ole hou aku 2 hola.

Ke hoomanawanui Aʻole i hooweliweli i ka hooulu ana o ka hypothyroidism, no ka mea, e synthesized hormones unaffected kaʻana like 'ana thyroid. I kekahi manawa e pono ai hope Inc me hormonal Inc.

huina thyroidectomy

Ke kaʻina hana kŰia piha ana o ka thyroid gland. He mau lobes excised hui, e like me ka isthmus e hoʻohuiʻia ia mau mea. I kekahi manawa e pono ai e wehe i ka lymph aka wahi. Kēia ka hana i ka hihia ma ka mea, e hooakea nui, a me kā lākou mau metastases. Duration o ka lapaʻau - ma kahi o 4 h.

Ma hope iho o kēiaʻano o kaʻoki kino i ka hoʻomanawanui, e loaʻa, e lawe ola gormonosoderzhaschie ai '. Ma hope o nā mea a pau, ka mea, aole e noho i loko o ke kino nā'aʻaʻa o ka thyroid gland.

Radioactive iodine Inc

Kēia Inc ua hoʻohana 'ia ka wā o ka hana i ua i mua. Ua Ua nona ma ka luku ana o na koena o ka maʻi 'aʻai keena. Metastases, ka poe i hele ma o aku o na palena o ke kino, hele aku la i ka lymph aka wahi, ua noho pilikia loa. E ho ohana i radioactive iodine 'aʻole e pepehi i na keena. ka mea, nui noho i loko o ka thyroid gland ia iho ma hope o hapa thyroidectomy.

Oia hoi, ina ua palahalaha ae maʻi 'aʻai aeee i na maʻiʻaʻai, a me ke kōkua o ke Inc me ka radioactive iodine, mai ia hiki e ana eliminated.

Ka postoperative manawa

Thyroidectomy - he luna 'ʻoki kino, akā, ke ola ma hope ona hoʻokēʻai nui iho la ia. Loa nā mea maʻi e i ke ola ma ia i ka hana, mai i haha nui discomfort ma hope o ka hana. A kanaka hiki hoʻi i ka maʻamau hana koke ma hope o hookuuia mai o ka haukapila.

Kekahi kanaka manao ia ma hope o ke kaʻina hana mea,ʻaʻole hiki ke maopopo ai, inu i ka wai. Akā, i kēia mea,ʻaʻole i ka hihia. Ke incision aʻole e pili mai moni 'ia nā puaʻa hiwa paʻa wai aʻai.

hiki complications

Ma pohihihi keia hoopii,ʻoki kino complications welau a:

1. Poino i ka recurrent laryngeal nā aʻalolo, i mea kuleana no ka leo.
2. Hoarseness a he uuku loli ia. I kekahi manawa, ua hoʻololi loa i ka leo.
3. Poino i ka parathyroid glands. Ka mea, i aia ma ke kua o ka thyroid gland, no laila, hiki ke loli ma ka hana. Akā, i kēia ka hana i loa kākaʻikahi ma inexperienced surgeons. Poho maka nahae o ke kalipuna a me ka phosphorus pūnao. E like me ka hopena, ua hiki aku i ka hypoparathyroidism.

Outlook

Ma mua no kekahi kanaka i hiki ke huli i loko o papillary carcinoma o ka thyroid gland? Ke kēla mea maikaʻi i loko o ka hapanui hihia. Oia hoi, ina ua palahalaha ae maʻi 'aʻai aeee i ka lymph aka wahi, i ka hoʻomanawanui ke ola i ka lōʻihi manawa. 'Ikepili helu hōʻike i hopeʻoki kino ola kekahi kanaka:

• oi ma mua o 20 makahiki i ka 70% o ka hihia;
• oi ma mua o 10 makahiki i ka 85% o ka hihia;
• no 5 makahiki i ka 95% o ka hihia.

E like me 'oe ke ike, mea,ʻaʻole mea weliweli nui papillary thyroid carcinoma. Ke ola i kela mea loa kiʻekiʻe, a hiki i ka hihia ma kaʻeho ua hohola iho la ma kela aoao o ka thyroid.

hou ninaninau

Ma hope o ka piha papa o ka iapaau ana i kekahi kanaka mau E kipa i endocrinologist. He mea pono i ka mea e kanaka hoʻoponopono i ka pono ola. I kekahi manawa, i ka maʻi 'aʻai, mai e hele mai hoʻi, no laila,' oe i ke undergo i ka piha nana i kela makahiki.

• koko (nānā 'ka hoʻokōʻana hope Inc, a me ke alo o malignant hikoko, ka metastases i koe);
• US o ka thyroid gland a me ka lymph aka wahi;
• me ka iodine kino scan.

Papillary thyroid Ka maʻi 'aʻai - he mea pepehi maʻi, akā, ma ka hapanui o na hihia e hiki ke loa eliminated. O ka papa kuhikuhi hana o ka lapaau - i ka hana, ma hope i ka mea pono i ka Lani i ka iapaau ana me ka radioactive iodine.